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�.. - . <br /> i " <br /> everen � <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> v Type or print ckuly with�nk <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. � . <br /> APPLICANT (UNDERSIGNED)ANO FIRM REPRESENTED. �F ANY: <br /> !/. <br /> HEREBV APPLIES FOR PERMISSION TO .��-f�C�� ���f�-'�� ���`-<��C-'�=� - � ��i - -�— <br /> `i--_ � <br /> V <br /> AT THE FOLLGWING LOCATION //`) � /�'��' � <br /> _r ---__ <br /> DRAWING (WpRK TO BE DONE) OR THREE PLANS ATTACHED: �'�/�� � ' <br /> � <br /> DRIVEWAY SECTlON <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED i�� ��p <br /> ON JOBSITE. I 30 �— I _3o" I <br /> CALL FOR INSPECTIOPN 259-881 1 1"-� - �'1 <br /> 24 HOURS BEFORE CONSTRUCTION The un�ersigned owner ncreDy agrees to hold nnd sevc harmless <br /> ihe Gty ol Everett Imm any an0 all claims lor tlamapes, cosis. <br /> eapen<es.or causes ol aclio�Ihat may anse because ol inslallnbcn <br /> anA mn�ntennnco ol Uio �nprovemrnl m o�her rigpbol-way use <br /> M1erolo :q0�h�d Io� antl fu:iryor a9rrue In iemo�u came�n.on noL[n <br /> �,o�, �ni. cn. .nW to �on�aro trum�c cronoitY �la;na.^n b�iu�b� <br /> DEPARTMENT APPROVALS <br /> �;WfN _ _ __ —_ — COM1O.�UNit'4-�i..� <br /> � . <br /> U��niNnGE 1HPfFlC /�j �_:� � � <br /> /1'�i:(/l-�-.�'�`'�...�--�.�� — <br /> NniFi� VL4NNiNG SiGNPtURE OF AVPLiCRI}I <br /> //D ( J�ti�_��" \ <br /> 51PFEi � — -- oU �ILVS �f�,/ /� _ <br /> �� � �: ;� _ �) : . : , ,� / � /1�// I // .� ` / <br /> �� I�� � ' � �. ��; <br /> �, c�.�.� G� —C: —�yC� ��.� , z�� <br /> oveoroWr, iHucf'�oN oArr ��,J� —�'���— ��S �/ ��� <br /> /� tELEPMONE NUA�NEH �l1EBNAIt <br /> A AS 'O RUCTEO �uat��� oatE <br /> �� <br /> COPdi3iRU�;�� �lU��"�' '',i7 ``IIILT �t� 1978 <br />